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Alexandria Rose Fratamico

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDRIA FRATAMICO.

Based on the most recent information from CMS, provider Alexandria Rose Fratamico is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1255059093
Provider Type
Individual
Full Name
Fratamico, Alexandria Rose
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/18/2022
Last Updated
8/18/2022

Contact Information

Practice Location

150 55th St, Brooklyn, NY 11220-2508

(718) 630-7000

Unlisted Fax

Mailing Location

392 Greenside Ave, Portsmouth, NH 03801-4719

(603) 988-7694

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Alexandria Rose Fratamico

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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